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Tie the inner 10-0 Nylon sutures

Placement of outer layer 9-0 reinforcing sutures

Placement of Anterior layer sutures

Final Closure and reinforcement layer of 9-0 sutures

Incising the isolated epididymis tubule

Preparing the Vas for the epididymovasostomy

Placement of inner layer 10-0 sutures in to vas lumen

Placement of the 10-0 Nylon sutures into the epididymal tubule

Placement of the outer layer 9-0 Nylon suture at 6:00 position
